Sara Iams

Sara Iams

Polsinelli

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60-Day Overpayment Reporting Final Rule—The Rule of Six

On February 12, 2016, CMS published the Reporting and Returning of Overpayments Final Rule (Final Rule). The Final Rule takes effect on March 14, 2016. Overall, CMS appears to have listened to stakeholders and acknowledged...more

2/16/2016 - 60-Day Rule CMS Health Care Providers Medicare Medicare Part A Medicare Part B Overpayment Recovery Time Limits

CMS Proposes Overhaul of Clinical Lab Payment Methodology: What You Need To Know

On Friday, the Centers for Medicare & Medicaid Services (“CMS”) issued a long-awaited proposed rule that would drastically change the payment rates for clinical laboratory services beginning January 1, 2017 (the “Proposed...more

9/29/2015 - Civil Monetary Penalty Clinical Laboratories CMS Health Care Providers Healthcare Medicaid Medicare Medicare Advantage Medicare Part D PAMA Physician Fee Schedule Physicians Protecting Access to Medicare Act Reporting Requirements

Don't Delay: Deadline for ICD-10 Compliance for October 1, 2015 Still Underway

In a final rule released on July 31, the U.S. Department of Health and Human Services (HHS) confirmed October 1, 2015 as the compliance date for health care providers, health plans, and health care clearinghouses to...more

8/7/2014 - Compliance Deadlines Healthcare Healthcare Reform HHS ICD-10

Health Reform + Related Health Policy News - October 2013

In This Issue: - Top News ..Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations ..Glitches and Demand Lead to Marketplace Frustration ..HHS Delays Small...more

10/16/2013 - Affordable Care Act CMS False Claims Act (FCA) FDA Health Insurance Exchanges Healthcare Healthcare Reform HHS Medicaid Medicaid Expansion Medicare Open Enrollment Pharmacies Physician Medicare Reimbursements Stark Law

FY 2014 IPPS/LTCH PPS Final Rule Goes Into Effect October 1, 2013

In This Issue: - What Providers Should Know - Requirements for Inpatient Admissions and Payment Under Medicare Part A - New Rules Permitting Re-billing Under Medicare Part B for Denied Admissions - New HAC...more

10/2/2013 - CMS Healthcare Hospitals Medicare Medicare Part A Medicare Part B Patient Prospective Payment System

Health Reform + Related Health Policy News - May 2013

In This Issue: - Top News ..HHS Releases Hospital Pricing Data in Transparency Effort; Results Show Significant Variation ..States Divided on Medicaid Expansion ..CMS Issues FY 2014 Proposed Rules for...more

5/13/2013 - CMS Contraceptives Health Insurance Exchanges HHS Hospice Hospitals Long-Term Care Medicaid Medicaid Expansion Nurses Proposed Regulation

What Hospitals Should Know About Payment Changes For 2013

In response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective...more

1/18/2013 - CMS Healthcare Hospitals Inpatient Quality Reporting Medicare Outpatient Quality Reporting Physician Medicare Reimbursements Value-Based Purchasing

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